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Individual

KELLY FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-5725
(414) 219-5611
Mailing address
1348 PAULS DR, GREENFIELD, IN 46140-1130

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB12545800
NJ
207V00000X
Obstetrics & Gynecology Physician
69967-21
WI

Other

Enumeration date
03/25/2017
Last updated
10/06/2025
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